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A Quality Improvement Initiative: A Nurse Practitioner-Led Interdisciplinary Approach to Reducing Readmissions in the
Clare Rovito1, Kathleen Fagan2
1Felician University, Lodi, New Jersey rcrovito@aol.com fagank@felician.edu.
Journal of Doctoral Nursing Practice
|March 1, 2022
Summary
An Advanced Practice Nurse (APN) project leader reduced 30-day subacute readmissions by implementing transitional care. Hospice referrals were key to this successful quality improvement initiative.
Area of Science:
- Healthcare Management
- Nursing Practice
- Quality Improvement
Background:
- Subacute readmissions pose a significant challenge in outpatient facilities.
- Transitional care processes are crucial for patient recovery and preventing readmissions.
Purpose of the Study:
- To decrease 30-day subacute readmissions using an Advanced Practice Nurse (APN) as a project leader.
- To evaluate the impact of APN leadership on interdisciplinary team effectiveness in subacute care.
Main Methods:
- An APN was immersed as a project leader for a 12-week period.
- Evidence-based transitional care processes were applied.
- Lippitt's Model of Planned Change and the LACE Scoring Tool were utilized.
Main Results:
- A significant difference was identified in 30-day outcomes.
- LACE variable comorbidity scores showed statistical significance (t(4) = 2.95, p = 0.0418).
- Readmission rates decreased, particularly when utilizing hospice as a referral source.
Conclusions:
- Implementing transitional care processes led to reduced 30-day readmission rates.
- The use of hospice referrals was instrumental in decreasing readmissions.
- APN leadership and collaborative practices are vital for effective healthcare policy changes and improved patient outcomes.
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